Provider Demographics
NPI:1942589478
Name:ENGEL, STEPHEN E (MS)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:E
Last Name:ENGEL
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6407 HEATHER MOOR CT
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-2237
Mailing Address - Country:US
Mailing Address - Phone:813-843-2858
Mailing Address - Fax:
Practice Address - Street 1:4144 N ARMENIA AVE
Practice Address - Street 2:STE 350
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6400
Practice Address - Country:US
Practice Address - Phone:813-872-8521
Practice Address - Fax:813-874-1350
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst